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CTRI Number  CTRI/2010/091/000107 [Registered on: 09/09/2010]
Last Modified On: 21/05/2019
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study
Modification(s)  
Drug 
Study Design  Single Arm Study 
Public Title of Study
Modification(s)  
A clinical trial to study the effects of ZYH1 in patients with high triglyceride levels in HIV associated lipodystrophy. .[Prospective Randomised Efficacy and Safety of Saroglitazar (PRESS VII)].  
Scientific Title of Study
Modification(s)  
A prospective, multi-centric, open-label, single arm study to evaluate the safety and efficacy of 4mg of ZYH1 in hypertriglyceridemia in HIV associated lipodystrophy 
Trial Acronym  NA 
Secondary IDs if Any
Modification(s)  
Secondary ID  Identifier 
ZYH1.09.003.01.PROT,Version 1.0 dated 09/03/2009  Protocol Number 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)
Modification(s)  
Name  Dr R H Jani 
Designation  Sr. Vice President, Clinical R&D 
Affiliation  Cadila Healthcare Limited 
Address  Zydus Cadila House,2nd Floor Plot No. 360, TPS 5, Service road, Vile Parle (East)

Mumbai
MAHARASHTRA
400057
India 
Phone  91-22-26186052  
Fax  91-22-26151735  
Email  rhjani@zyduscadila.com  
 
Details of Contact Person
Scientific Query

Modification(s)  
Name  Dr RH Jani 
Designation  Sr. Vice President, Clinical R&D 
Affiliation  Cadila Healthcare Limited 
Address  Zydus Cadila House
Plot No. 360, TPS 5, Service road, Vile Parle (East)
Mumbai
MAHARASHTRA
400057
India 
Phone  91-22-26186052  
Fax  91-22-26151735  
Email  rhjani@zyduscadila.com  
 
Details of Contact Person
Public Query

Modification(s)  
Name  Dr R H Jani 
Designation  Sr. Vice President, Clinical R&D 
Affiliation  Cadila Healthcare Limited 
Address  Zydus Cadila House,2nd Floor Plot No. 360, TPS 5, Service road, Vile Parle (East)

Mumbai
MAHARASHTRA
400057
India 
Phone  91-22-26186052  
Fax  91-22-26151735  
Email  rhjani@zyduscadila.com  
 
Source of Monetary or Material Support
Modification(s)  
Cadila Healthcare Limited 
 
Primary Sponsor
Modification(s)  
Name  Cadila Healthcare Limited 
Address  Cadila Healthcare Limited Zydus Cadila House, Plot No. 360, TPS 5, Dayaldas Road - Service Road CrossingVile Parle (E) Mumbai-400057, India 
Type of Sponsor  Pharmaceutical industry-Indian 
 
Details of Secondary Sponsor
Modification(s)  
Name  Address 
NA   
 
Countries of Recruitment
Modification(s)  
  India  
Sites of Study
Modification(s)  
No of Sites = 2  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Alka Deshpande  Grant Medical College & Sir J J Gr. of Govt. Hospital   2nd Floor, Main Building,Byculla-400008
Mumbai
MAHARASHTRA 
02223703696

alakadeshpande@rediffmail.com 
Dr. Harsh Toshniwal  IDTM CLINIC  402, Gala Business Centre, Near Rajhans Society, Saint Xaviour?s College Corner Road,On H.L Commerce College Road, Off. C.G Road, Navrangpura-380006
Ahmadabad
GUJARAT 
9825249566

idtmclinic@gmail.com 
 
Details of Ethics Committee
Modification(s)  
No of Ethics Committees= 2  
Name of Committee  Approval Status 
Dr.Alaka Deshpande,Instituitional Ethics Committee JMC, Mumbai   Approved 
Dr.Harsh Toshniwal,Independent Ethics Committee - Aditya, Ahmedabad  Approved 
 
Regulatory Clearance Status from DCGI
Modification(s)  
Status 
Approved/Obtained 
 
Health Condition / Problems Studied
Modification(s)  
Health Type  Condition 
Patients  Hypertriglyceridemia in HIV associated lipodystrophy, (1) ICD-10 Condition: E781||Pure hyperglyceridemia,  
 
Intervention / Comparator Agent
Modification(s)  
Type  Name  Details 
Comparator Agent  NA  NA 
Intervention  ZYH1   Dose -4mg Frequency-Once daily Route-Oral 
 
Inclusion Criteria
Modification(s)  
Age From  18.00 Year(s)
Age To  65.00 Year(s)
Gender  Both 
Details  Age 18- 65 years
Subjects should have confirmed diagnosis of HIV 1 and on highly active antiretroviral therapy (HAART) for at last 18 months.
On stable ART regimen for at least 8 weeks prior to inclusion in the study and ART regimen not expected to change in next 3 months.
Subjects clinically diagnosed as HIV Lipodystrophy (at least 1 moderate or severe Lipodystrophy feature identified by doctor and patient, except isolated abdominal obesity)
Triglycerides between 200 - 500 mg%
Subject has given informed consent for participation in this trial
Subjects whose CD4 count is > 50/mm3
 
 
ExclusionCriteria 
Details  Subjects on insulin and/or glitazone / glitazar therapy Pregnancy and lactation Subjects with history of active liver disease or hepatic dysfunction demonstrated by aspartate aminotransferase (AST) and alanine aminotransferase (ALT) ≥2.5 times of upper limits of normal or Bilirubin more than 2 times UNL Renal dysfunction (serum creatinine > 2 mg%) Subjects with history of gall stone. Subjects with history of Cardiac failure. Subjects with history of myopathies or evidence of active muscle diseases or CPK ≥10 times UNL Subject with history of alcohol and/or drug abuse History of allergy, sensitivity or intolerance to the study drugs and their formulation ingredients. History of active Opportunistic infection in last three months. History of malignancy or active neoplasm. Any active hormonal disease and/or hormonal treatment that may affect the outcomes of interest such as clinically overt hypo/hyperthyroidism, hypogonadism, hypercortisolism, or treatment with steroids or growth hormone. Hemoglobin below 9 g/dl or Total leukocyte count below 1000/mm3 or Platelet count below 50,000/mm3 Participation in any other clinical trial in past 3 months  
 
Method of Generating Random Sequence
Modification(s)  
Not Applicable 
Method of Concealment
Modification(s)  
Pre-numbered or coded identical Containers 
Blinding/Masking
Modification(s)  
Open Label 
Primary Outcome
Modification(s)  
Outcome  TimePoints 
Triglycerides   At 6 weeks and 12 weeks 
 
Secondary Outcome
Modification(s)  
Outcome  TimePoints 
Low density lipoprotein (LDL),
Very low density lipoprotein (VLDL) High density lipoprotein (HDL)
Total cholesterol
Non HDL Cholesterol (Measured value) Apo(a)& Apo B
Fasting insulin and C-peptide for HOMA beta and IR. 
At 6weeks and 12 Weeks. 
 
Target Sample Size
Modification(s)  
Total Sample Size="50"
Sample Size from India="50" 
Final Enrollment numbers achieved (Total)= ""
Final Enrollment numbers achieved (India)="" 
Phase of Trial
Modification(s)  
Phase 2 
Date of First Enrollment (India)
Modification(s)  
21/08/2010 
Date of Study Completion (India) Date Missing 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial
Modification(s)  
Years="0"
Months="5"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Completed 
Publication Details
Modification(s)  
NA 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Brief Summary
Modification(s)  
This is a prospective, multi-centric, open-label, single arm study to evaluate the safety and efficacy of 4mg of ZYH1 in hypertriglyceridemia in HIV associated lipodystrophy. Subjects should be clinically diagnosed as HIV Lipodystrophy with confirmed diagnosis of HIV 1 and on highly active antiretroviral therapy (HAART) for at last 18 months with Triglyceride level ranging between 200 to 500 mg% .before getting enrolled in the trial. The required sample size for this study to achieve 80% power at the 5% level of significance is a total of 50 subjects. The primary efficacy variable is the Reduction in Triglyceride (TG) at Week 6 and 12 of the treatment period compared with baseline. The change from baseline will be determined as the difference between the means for the treatment period (Week 6 and12) and the baseline. For the efficacy endpoints, treatment effect will be evaluated using an analysis of variance (ANOVA) model. Treatment effects will be estimated using the least-square means and 95% confidence intervals (CIs) from the ANOVA model. Statistical significance will be defined as a two-sided p-value <0.05. 
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